Abstract-Serum LDL cholesterol (LDLC) concentrations and ACE activities are risk factors for the development of cardiovascular disease (CVD). However, the relationship between ACE and CVD susceptibility, and possible mechanisms of action, is controversial. With data on 622 pedigreed baboons, we used statistical genetic methods to determine the mode of inheritance of ACE activities and its relationship to LDLC on different diets. ACE activity was moderately heritable, and quantitative trait linkage analyses detected a quantitative trait locus (QTL) for ACE activity on the baboon homolog of human chromosome 17 (near the ACE structural locus, maximum multipoint lodϭ7.5, genomic Pϭ0.000003). Bivariate analyses revealed that ACE activity was genetically correlated ( G ) with LDLC response (LDLC RC ) to a high-cholesterol diet ( G ϭ0.30Ϯ0.13, Pϭ0.01) but not to LDLC on a basal diet ( G ϭ0.08Ϯ0.13). Bivariate genetic analyses indicated that a previously detected QTL for LDLC RC had significant (Pϭ0.025) pleiotropic effects on ACE activity levels and accounted for the genetic correlation. Therefore, we have detected 2 putative loci that affect ACE activity in baboons, one of which also affects LDLC dietary response. The existence of at least 2 genes that affect ACE activity, one of which is diet-responsive, may help explain the lack of consistency among studies of the relationship between ACE and CVD. Key Words: angiotensin-converting enzyme Ⅲ cholesterol Ⅲ diet Ⅲ genetics Ⅲ linkage Ⅲ baboons H ypertension and serum concentrations of LDL cholesterol (LDLC) are well-known heritable risk factors for cardiovascular disease (CVD). Numerous studies have demonstrated the central role of the renin angiotensinogen system (RAS) on blood pressure regulation and the development of hypertension. Epidemiological studies have shown that hypertension and hypercholesterolemia often occur within the same individual. Furthermore, pharmacologic inhibition of ACE, a critical RAS enzyme that cleaves the inactive angiotensin (Ang) I to form active Ang II (a potent vasoconstrictor), has beneficial effects in patients with hypertension and ischemic heart disease. Recently, researchers have reported that the magnitude of blood pressure response to infusion with Ang II is heritable 1 and positively correlated with serum cholesterol concentrations in both normotensive 2 and hypertensive 1 individuals. These observations suggest that common underlying pathways link the RAS and cholesterol metabolism, and this ultimately may contribute to the coordinate development of hypertension and atherosclerosis.Serum ACE levels are moderately heritable, 3 and polymorphisms in the ACE structural locus (referred to as ACE or DCP1) account for 19% to 50% of the variation in serum ACE levels. 4 A common Alu repeat insertion/deletion (I/D) in ACE has been associated with increased blood pressure or risk of CVD in some, 5,6 but not all, 7,8 studies. In fact, associations between CVD phenotypes and the ACE genotypes varied across populations and geographic regions. ...